Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Single contrast X-ray of small intestine
Low
$39
Average
$202
Median
$179
High
$1.9k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
209 hospitals; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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226 hospital rates
iThe hospitals that file a Medicare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $163 | $163 | — | — | 20 | $163 – $163 |
| 2 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $162 | $162 | — | — | 17 | $162 – $162 |
| 3 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $161 | $161 | — | — | 17 | $161 – $161 |
| 4 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $219 | $219 | — | — | 17 | $219 – $219 |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | 11 | $100 – $100 |
| 6 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $111 | $111 | — | — | 2–20 | $111 – $111 |
| 7 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | $112 | 73% | 2–20 | $41 – $265 |
| 8 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $168 | $168 | — | — | 2–20 | $168 – $168 |
| 9 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $168 | $168 | — | — | 2–20 | $168 – $168 |
| 10 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $529 | $529 | — | — | 1–10 | $529 – $529 |
| 11 | Brigham and Women's Hospital Boston, MA other · both | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT other · inpatient | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · both | 2 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN other · both | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 16 | John Muir Health Walnut Creek, CA other · both | 3 | $248 | $248 | — | — | 1–10 | $248 – $248 |
| 17 | John Muir Health Concord, CA other · both | 3 | $248 | $248 | — | — | 1–10 | $248 – $248 |
| 18 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 19 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 20 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 21 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 22 | MVHS, Inc. Utica, NY other · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 23 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $180 | $180 | — | — | 1–10 | $180 – $180 |
| 24 | Massachusetts General Hospital Boston, MA other · both | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 25 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
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